WO1986006622A1

WO1986006622A1 - Thermal vascular dilator

Info

Publication number: WO1986006622A1
Application number: PCT/SE1986/000215
Authority: WO
Inventors: Per-Olof SILÉN
Original assignee: Teknikhuset Swetron Ab
Priority date: 1985-05-07
Filing date: 1986-05-07
Publication date: 1986-11-20
Also published as: DK2287D0; SE8502248D0; SE447787B; US4747409A; FI874884A0; FI874884A; EP0252919A1; SE8502248L; DK2287A

Abstract

In a channel-shaped support member (1) is located a sleeve (2) heated by electrical resistance elements (5), said sleeve being divided in several sections separately closable around an extremity. In one end of the support member there is a handle (21) around which a patient may grip.

Description

THERMAL VASCULAR DILATOR

The present invention concerns a device for dilating extremity blood vessels by thermal treatment. Hereinafter such device is referred to as a thermal vascular dilator.

A great part of medical research is based on collecting numerous blood samples from patients and healthy test persons. This necessitates insertion of sampling and infusion cannulas in peripheral arm veins. Tolerance tests are carried out also in routine medical services and form the base of many endocrine analyses. Also our entire hormone diagnostics is based on venepuncture. Since not all patients have vessels perfect to puncture it has been necessary to employ specialized test nurses being well trained in puncturing and managing the insertion of test needles in a patient. Many patients with endocrine diseases have bad vessels. Such diseases are, e.g., Cushing's syndrome, Addison's disease, diabetes, hypofysial malfunctions including a.o. obesity and so on. It has become a routine, therefore, to utilize commonly available heat pads for heating of an arm before a puncturing attempt is made. In this way the circulation is increased and a better filling of the vessels is obtained which facilitates cannula insertion. The existing heat pads, however, are not adapted to this purpose. They easily slip off and the heating efficiency is bad. For certain purposes these heat pads arequite unsuitable, e.g. when there is a need for a so arterializat ion of venous blood. The thermostat used in the pads periodically swithces the current off and on which results in great temperature fluctuations and consequently very uncertainly varying arterializat ion of the blood. There is a need, thus, for a suiatable thermal vascular dilator having a stable temperature steplessly variable between 27°C and 50°C. Such a device would be useful within all instances of public medical care where blood sampling occurs, as well within polyclinical as institutional medical care. A vessel dilator would be a great help for all nurses who often have to make venepunctures on patients having bad vessels. It is commonly known within the medical care that this oftenly is a problem. An efficient remedy should save much time and thereby release resources needed in other areas of the medical service.

It should be particularly valuable if all acute surgeries and intensive care surgeries could be equipped with several vascular dilators. It could then be possible to decrease the number of exposals and decrease the use of nurse anaesthetists for cannula and catheter insertions in sick patients. By using "arter lalized" blood (i.e. increased circulation due to heat, whereby a greater part of artery blood enters the vein vessel system) it is not necessary in certain cases to utilize artery punction, but it is possible to take samples from a peripheral vein. Artery punction is oftenly associated with a greater risk for the patient than ordinary venepunction.

Thus, a thermal vascular dilator can be used in numerous connections within the practical medical care as well as within research. It has its place at all levels of medical care and in specialities, not the least within children's hospitals and psychiatric clinics where venepuncture causes special problems.

The object of the invention, thus, is to provide a device of the kind initially stated which apart from the desirable thermal properties offers a practical and simple handling and is comfortable for the patient. This is accomplished in that the invention has been given the characteristic features stated in the appended claims.

An exemplifying embodiment of the invention will hereinafter be described under reference to the accompanying drawing, wherein fig. 1 shows a perspective view of a thermal vascular dilator according to the invention and fig. 2 shows same with an arm of a patient received therein.

The thermal vascular dilator according to the invention comprises an elongate support member 1 of a relatively rigid material, such as a hard plastic (thermoplastic resin). The support member 1 has the shape of a channel, substantially U-shaped in cross-section, which is adapted to the extremity in question, in this case an arm.

Inside the support member is fastened a sleeve 2 of flexible material, such as a relatively soft plastic. Between two layers 3 and 4 are laminated electrical resistance elements 5, which are voltage-fed through a cable 6 and a connection

7. Insulating layers not shown may be located between the elements 5 and the layers 3 and 4. The elements 5 preferably are so called foil elements.

By means of slots 8, 9 and 10, 11 the sleeve 2 is divided in several sections 12, 13 and 14, which can be closed separately around the arm of a patient by putting opposed flaps of the sleeve portions on each other and interlocking them by cooperating so called Velcro strips 15 and 16, 17 and 18, and, 19 and 20.

In the forward end of the support member 1 there is a cross-wise extending gripping handle 21, around which a patient is supposed to grip with his hand. Hereby is achieved what is achieved in normal venepunction by the patient clenching his hand, as well as a general stabilization of the entire aggregate relative to the arm of the patient. In its forward end the sleeve 2 also has two forwardly directed flaps 22 and 23, which can be wrapped around the hand of the patient and be fastened to the support member 1 onto Velcro strips attached thereon, only one 26 of which is shown in fig. 1.

As appears from fig. 2, after a desired heating time a certain section of the sleeve 2 , here the section 14, may be opened for exposal of the arm of the patient.

Claims

1. A device for dilating extremity blood vessels by thermal treatment, c h a r a c t e r i z e d b y a support member (1) of rigid material having a substantially U-shaped cross-section and adapted for receiving an extremity, and a sleeve (2) of flexible material arranged on the inside of the support member, said sleeve being adapted to be wrapped around an extremity received in the support member and including heat emitting means (5).

2. A device according to claim 1, c h a r a c t e r i z e d i n that the sleeve (2) is divided in several sections (12,13,14) being separately wrappable around an extremity.

3. A device according to claim 1 or 2, c h a r a c t e r i z e d i n that the sleeve (2) and the sleeve sections (12,13,14), respectively, is/are adapted to be overlappingly wrapped around an extremity and to be locked in the wrapped state by means of so called Velcro strips (15,20)

4. A device according to any of the preceding claims, c h a r a c t e r i z e d i n that the heat emitting means is electrical resistance elements (5), preferably foil elements.

5. A device according to any of the preceding claims, c h a r a c t e r i z e d i n that the support member (1) is provided with a gripping handle (21).

6. A device according to claim 5, c h ar a c t e r i z e d i n that the sleeve (2) is provided with a portion (22,23), which is adapted to be wrapped around the hand of an arm received in the support member (1) .